Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis gastroenterology differential disease management treatment ultrasound abdominal acute ascariasis bowel clinical compartment cough crohns disorders exocrine functional gallbladder gastrointestinal
Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm HIV + IBD Background HIV + IBD Treatment Intestinal
Intestinal Manifestations ... HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... medical therapy • Chronic ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Functional GI Disorders in IBD - IBD Algorithm Background: • 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... Gastrointestinal #Disorders #IBS ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... history: • Small intestine ... & small/large intestine ... changes without chronic ... inflammation: IBS
Cough - Diagnostic Schema Infectious: URTI, LRTI, Bacterial, Viral Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body Airway Disease:
Autoimmune Vasculitis, ILD ... Dz, Malignant effusion ... Schema #Acute #Chronic ... #Differential #Algorithm
Pancreatic Exocrine Insufficiency (PEI) - Diagnostic Algorithm PEI definite: • Total pancreatectomy • Severe chronic pancreatitis •
) - Diagnostic Algorithm ... pancreatectomy • Severe chronic ... Mild and moderate chronic ... PEI unlikely: • IBS ... Coeliac disease • IBD
Gall Bladder Ascariasis on POCUS We do come across Intestinal and CBD worms every now and then,
Ascariasis on POCUS ... do come across Intestinal ... and CBD worms every ... within the GB lumen is ... #GallBladder #POCUS
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 Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
APP (Abdominal Perfusion ... Pressure (IAP) is ... Syndrome (ACS): is ... burns, etc) - Chronic ... POCUS) and function
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